Nitroprusside purpose afterload by vasodilation
(mainly afterload)
Dobutamine mechanism
contractility
of action
0.5-4mcg/kg/min
Dopamine at a low-end increases renal and
dose "renal dose" mesentric perfusion
4-10mcg/kg/min
Dopamine at a mid-range increases contractility and
dose heart rate
greater than
Dopamine at a high-range 10mcg/kg/min
dose vasoconstriction and in-
creases BP
Dopamine and Levophed leads to tissue necrosis
infiltration
Dopamine antidote regitine (phentolamine)
bleeding-hemorrhagic
TpA monitor for CVA
, (calcium channel blocker)
slows ventricular rate by
slowing conduction
diltiazem (cardizem)
through the SA and AV
works by?
node
Diltazem (cardizem)
biggest effect on which he- hypotension modynamic
diltazem is used for paa-fib or a-flutter tients
with
antiarrythmic amiodarone
(Cordarone) prolongs the cardiac durais a
tion
You MUST use a
__________ when using 0.22 micron filter
amiodarone infusion
Watch out for hypotension, prolongation
____________ in patients of QT interval and
bradyon a amiodarone infusion cardia amiodarone is
used for paa-fib, a-flutter and VT tients with
, how much amiodarone is 150mg over 10min for VT
given to a stable VT with with pulse
a pulse and a unstable 300mg push; repeat x1 at
pulseless VT/VF? 150mg
Epinephrine has what ef- increases HR, BP, and
fect on the body? contractility what is the first
line drug
Epinephrine
for pulseless arrest?
What rhythms are consid- V-fib, Vtach (pulseless),
ered fatal? and asystole
Epinephrine is also given anaphylaxis and as a vaso-
for? pressor for hypotension
Heparin is used for? Anti- anticoagulant
dote is? Protamine Sulfate
What is the osmotic diuret-
ic of choice to decrease in- mannitol tracranial
pressure?
pulls fluids into
intravascular space to be excreted How does mannitol
work? by the kidneys to reduce intracranial pressure